Jigs, systems, and methods for correcting joint deformities

Abstract

A system includes a first tool having a first portion and a second portion supported by the first portion. The first portion extends from a first end to a second end, which includes a sleeve defining a first hole defining a first axis. The second portion defines a second hole having a second axis that is disposed at an angle relative to the first axis. The first and second holes are sized and configured to receive fixation elements for coupling the first tool to at least one bone. The first portion is configured to rotate about the first hole when a first fixation element is received within the first hole, and the sleeve defines a third hole that intersects a bottom surface of the sleeve. The third hole defines a third axis that is disposed at an angle relative to the first axis and the second axis.

What is claimed is: 
     
         1 . A system, comprising:
 a first tool, including:
 a first portion extending from a first end to a second end, the second end including a sleeve defining a first hole defining a first axis; and 
 a second portion supported by the first portion, the second portion defining a second hole having a second axis that is disposed at an angle relative to the first axis defined by the first hole, 
   wherein the first and second holes are sized and configured to receive fixation elements for coupling the first tool to at least one bone,   wherein the first portion is configured to rotate about the first hole when a first fixation element is received within the first hole, and   wherein the sleeve defines a third hole that intersects a bottom surface of the sleeve, the third hole defining a third axis that is disposed at an angle relative to the first axis defined by the first hole and the second axis defined by the second hole.   
     
     
         2 . The system of  claim 1 , wherein the first portion of the first tool is provided by a first component, and wherein the second portion of the first tool is provided by a second component that is supported by the first component. 
     
     
         3 . The system of  claim 2 , wherein the first component defines a channel adjacent to the first end, the channel having a longitudinal axis that is disposed at an angle with respect to the first axis defined by the first hole. 
     
     
         4 . The system of  claim 3 , wherein the second component is configured to slide within the channel defined by the first component and is configured to rotate about an axis that is parallel to the first axis defined by the first hole. 
     
     
         5 . The system of  claim 4 , wherein the first tool is configured to rotate about the first axis defined by the first hole when fixation elements are disposed within the first and second holes. 
     
     
         6 . The system of  claim 5 , wherein, when the first tool rotates about the first axis defined by the first hole, the second component slides within the channel and rotates about the axis that is parallel to the first axis defined by the first hole. 
     
     
         7 . The system of  claim 6 , wherein the first tool includes a locking mechanism coupled to the second component, the locking mechanism configured to engage a fixation element disposed within the second hole to prevent the first tool from rotating about the first axis defined by the first hole. 
     
     
         8 . The system of  claim 1 , wherein the sleeve includes a notch that is aligned with the third hole. 
     
     
         9 . The system of  claim 1 , wherein the first tool is configured to lock onto at least one of a first fixation element and a second fixation element when the first fixation element and the second fixation element are received respectively in the first hole and the second hole. 
     
     
         10 . The system of  claim 1 , further comprising a second tool including:
 a third component;   a fourth component; and   at least one fastener for coupling the third component to the fourth component,   wherein the third component is coupled to the fourth component such that a distance between the first component and the second component in a first direction is adjustable.   
     
     
         11 . A surgical tool, comprising:
 a body having an arm portion and a guide portion, the arm portion extending from a first end to a second end and having a channel at the first end, the guide portion extending from the first end of the arm portion and defining a first hole that extends parallel to the arm portion;   an adjustment guide slidably and rotatably disposed within the channel defined by the arm portion of the body, the adjustment guide defining a second hole sized and configured to receive a fixation device therein; and   a sleeve disposed within the first hole defined by the guide portion of the body, the sleeve defining a third hole that extends from a first end of the sleeve to a second end of the sleeve and intersects with a bottom surface of the sleeve.   
     
     
         12 . The surgical tool of  claim 11 , further comprising first and second elongate radiopaque members, the first and second radiopaque members disposed within at least one slot defined by the arm portion. 
     
     
         13 . The surgical tool of  claim 12 , further comprising a clip securing the first and second radiopaque members to the arm portion. 
     
     
         14 . The surgical tool of  claim 13 , wherein the clip includes:
 a clip body having a first side and a second side; and   first and second legs extending from the second side, each of the first and second legs including a projection for engaging a respective one of the first and second radiopaque members.   
     
     
         15 . The surgical tool of  claim 14 , wherein the guide portion defines a targeting slot that extends along an upper surface of the guide portion in a direction that is parallel to the third hole defined by the sleeve. 
     
     
         16 . The surgical tool of  claim 11 , wherein the sleeve defines a fourth hole that is sized and configured to receive a fixation device therein for coupling the body to a bone. 
     
     
         17 . The surgical tool of  claim 16 , wherein the fourth hole is disposed adjacent to a notch defined by the sleeve, the notch aligned with the third hole. 
     
     
         18 . The surgical tool of  claim 11 , wherein the bottom surface of the sleeve includes at least one of an angle and a step. 
     
     
         19 . The surgical tool of  claim 11 , wherein the guide portion defines a fourth hole that is disposed parallel to the third hole, the fourth hole sized and configured to receive a radiopaque element therein. 
     
     
         20 . A system, comprising:
 the surgical tool of  claim 11 ; and   a second tool, the second tool including:
 a first component; 
 a second component; and 
 at least one fastener for coupling the first component to the second component, 
   wherein the first component is coupled to the second component such that a distance between the first component and the second component in a first direction is adjustable.